Inquiring minds, that needs unpacking.
I will tell you that I have no idea what my T is, I have never even thought to get it assayed. I live my life, I age, I get slower, my hair is turning grey, whatever. I have absolutely no interest in knowing my T level.
re: “hypogonadism” and the level you cited: whatever. It means nothing to me, because it doesn’t tell me if you would in my mind qualify for a needed medical intervention—ie it provides me with no evidence that you are unable to lead a relatively normal, enjoyable, productive/unproductive life, as you choose within the limits of your history, motivations, and current situation.
Labels attached to T levels arise likely from statistical distributions, actuarial factors, and profit/loss analyses. So you are slower and weaker at 60 than before? Big deal. A lot slower and weaker? Big deal. I know people in their mid-90’s who have never in their adult lives been capable of even running a mile nonstop. Diminishing athletic performance is not a medical condition. Not being able to walk down a hill without breaking an ankle, that is a medical condition. Aortic aneurysm, that is a medical condition. Something that affects daily necessary function, not discretionary leisure functions like athletics or other sports. Of course what is necessary will vary with the individual, if you are doing heavy lifting work in a warehouse in order to get food to eat, for example.
The T drain is when you justify discretionary intervention as necessary, ie when you are fooling yourself or lying to yourself. Whether or not you are in this category, I don’t know, so I can’t comment on your situation.
The body is a balance, and everyone’s balance is unique. I imagine that even some with “normal” T may benefit from supplemental T, depending on the medical indication—but make no mistake, introducing more of any one particular thing into the body will cause the body to adapt, to re-establish homeostasis. Some of these adaptations might be good, and some might be bad—and where the overall effect ends up depends on the individual.
My mantra is that if it ain’t broke, don’t fix it. T therapies are IMO too recent for us to have any good understanding. I can speak only to what I know: I eat naturally, take absolutely no drugs or supps, and am in perfect health, train hard, and am still strong and fast as F. Meantime, I have watched/am watching the world around me crumble—aunt recently died of cancer; aunt and uncle dying of cancer; brother with gout; sister-in-law with Lupus; father-in-law dying of cancer: best friend with both ascending aorta and abdominal aorta grafts; ski champion friend torn up knee, etc etc etc etc. It’s unbelievable. All these people knew better than me, were smarter, thought they had things figured out, declined solicited and honest advice from a guy who knows about epidemiology, nutrition, exercise, cardiac rehab, and so on.
The proof is in the pudding, especially when you are talking about those genetically close to you, and those doing the same types of activities as you. Here I am, over 56, feeling great and getting better every day at skill things like swimming and skiing, with no real physical limitations getting in the way of progress, and maintaining my strength and speed at high levels…while those around me struggle to even get within sight of neutral.
Some things can’t be helped, but some can. Even some things that can’t be helped can be lessened or mitigated. These attitudes have worked for me and my wife, YMMV.